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PEDS WONG EVOLVE EXAM 1 ,2 AND 3 QUESTIONS
NEWEST 2026 EXAM LATEST VERSION SOLVED
QUESTIONS & ANSWERS VERIFIED 100 %
PEDIATRICS: exam #1 (Wong’s Essentials 10th edition)
CH 1: Perspectives of pediatric nursing
A nurse on a pediatric unit is practicing family-centered care. Which is most
descriptive of the care the nurse is delivering?
a. Taking over total care of the child to reduce stress on the family
b. Encouraging family dependence on health care systems
c. Recognizing that the family is the constant in a childs life d. Excluding
families from the decision-making process
C
The three key components of family-centered care are respect, collaboration, and
support. Family-centered care recognizes the family as the constant in the childs life.
Taking over total care does not include the family in the process and may increase
stress instead of reducing stress. The family should be enabled and empowered to
work with the health care system. The family is expected to be part of the decision-
making process.
The nurse is preparing an in-service education to staff about atraumatic care
for pediatric patients. Which intervention should the nurse include?
a. Prepare the child for separation from parents during hospitalization by
reviewing a video.
b. Prepare the child before any unfamiliar treatment or procedure by
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demonstrating on a stuffed animal.
c. Help the child accept the loss of control associated with hospitalization.
d. Help the child accept pain that is connected with a treatment or procedure.
B
Preparing the child for any unfamiliar treatments, controlling pain, allowing privacy,
providing play activities for expression of fear and aggression, providing choices, and
respecting cultural differences are components of atraumatic care. In the provision of
atraumatic care, the separation of child from parents during hospitalization is
minimized. The nurse should promote a sense of control for the child. Preventing
and minimizing bodily injury and pain are major components of atraumatic care.
Which is most suggestive that a nurse has a nontherapeutic relationship with
a patient and family?
a. Staff is concerned about the nurses actions with the patient and family.
b. Staff assignments allow the nurse to care for same patient and family over
an extended time.
c. Nurse is able to withdraw emotionally when emotional overload occurs but
still remains committed.
d. Nurse uses teaching skills to instruct patient and family rather than doing
everything for them.
A
An important clue to a nontherapeutic staff-patient relationship is concern of other
staff members. Allowing the nurse to care for the same patient over time would be
therapeutic for the patient and family. Nurses who are able to somewhat withdraw
emotionally can protect themselves while providing therapeutic care. Nurses using
teaching skills to instruct patient and family will assist in transitioning the child and
family to self-care.
Which is most descriptive of clinical reasoning?
a. A simple developmental process
b. Purposeful and goal-directed
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c. Based on deliberate and irrational thought
d. Assists individuals in guessing what is most appropriate
B
Clinical reasoning is a complex, developmental process based on rational and
deliberate thought. Clinical reasoning is not a developmental process. Clinical
reasoning is based on rational and deliberate thought. Clinical reasoning is not a
guessing process.
A nurse makes the decision to apply a topical anesthetic to a childs skin
before drawing blood. Which ethical principle is the nurse demonstrating?
a. Autonomy
b. Beneficence
c. Justice
d. Truthfulness
B
Beneficence is the obligation to promote the patients well-being. Applying a topical
anesthetic before drawing blood promotes reducing the discomfort of the
venipuncture. Autonomy is the patients right to be self- governing. Justice is the
concept of fairness. Truthfulness is the concept of honesty.
Which action by the nurse demonstrates use of evidence-based practice
(EBP)?
a. Gathering equipment for a procedure
b. Documenting changes in a patients status
c. Questioning the use of daily central line dressing changes
d. Clarifying a physicians prescription for morphine
C
The nurse should document assessments and reassessments. Appearance of the
incision described in objective terms should be included during a dressing change.
The nurse should document patients response and the outcomes of the care
provided. In this example, these include drainage on the old dressing, the application
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of the new dressing, and the childs response. The other statements partially fulfill the
requirements of documenting assessments and reassessments, patients response,
and outcome, but do not include all three.
A nurse is planning a class on accident prevention for parents of toddlers.
Which safety topic is the priority for this class?
a. Appropriate use of car seat restraints
b. Safety crossing the street
c. Helmet use when riding a bicycle
d. Poison control numbers
A
Motor vehicle accidents (MVAs) continue to be the most common cause of death in
children older than 1 year, therefore the priority topic is appropriate use of car seat
restraints. Safety crossing the street and bicycle helmet use are topics that should be
included for preschool parents but are not priorities for parents of toddlers.
Information about poison control is important for parents of toddlers and would be a
safety topic to include but is not the priority over appropriate use of car seat
restraints.
Which behaviors by the nurse indicate a therapeutic relationship with children
and families?
(Select all that apply.)
a. Spending off-duty time with children and families
b. Asking questions if families are not participating in the care
c. Clarifying information for families
d. Buying toys for a hospitalized child
e. Learning about the familys religious preferences
B, C, E
Asking questions if families are not participating in the care, clarifying information for
families, and learning about the familys religious preferences are positive actions
and foster therapeutic relationships with children and families. Spending off-duty time
with children and families and buying toys for a hospitalized child are negative
PEDS WONG EVOLVE EXAM 1 ,2 AND 3 QUESTIONS
NEWEST 2026 EXAM LATEST VERSION SOLVED
QUESTIONS & ANSWERS VERIFIED 100 %
PEDIATRICS: exam #1 (Wong’s Essentials 10th edition)
CH 1: Perspectives of pediatric nursing
A nurse on a pediatric unit is practicing family-centered care. Which is most
descriptive of the care the nurse is delivering?
a. Taking over total care of the child to reduce stress on the family
b. Encouraging family dependence on health care systems
c. Recognizing that the family is the constant in a childs life d. Excluding
families from the decision-making process
C
The three key components of family-centered care are respect, collaboration, and
support. Family-centered care recognizes the family as the constant in the childs life.
Taking over total care does not include the family in the process and may increase
stress instead of reducing stress. The family should be enabled and empowered to
work with the health care system. The family is expected to be part of the decision-
making process.
The nurse is preparing an in-service education to staff about atraumatic care
for pediatric patients. Which intervention should the nurse include?
a. Prepare the child for separation from parents during hospitalization by
reviewing a video.
b. Prepare the child before any unfamiliar treatment or procedure by
, Page 2 of 211
demonstrating on a stuffed animal.
c. Help the child accept the loss of control associated with hospitalization.
d. Help the child accept pain that is connected with a treatment or procedure.
B
Preparing the child for any unfamiliar treatments, controlling pain, allowing privacy,
providing play activities for expression of fear and aggression, providing choices, and
respecting cultural differences are components of atraumatic care. In the provision of
atraumatic care, the separation of child from parents during hospitalization is
minimized. The nurse should promote a sense of control for the child. Preventing
and minimizing bodily injury and pain are major components of atraumatic care.
Which is most suggestive that a nurse has a nontherapeutic relationship with
a patient and family?
a. Staff is concerned about the nurses actions with the patient and family.
b. Staff assignments allow the nurse to care for same patient and family over
an extended time.
c. Nurse is able to withdraw emotionally when emotional overload occurs but
still remains committed.
d. Nurse uses teaching skills to instruct patient and family rather than doing
everything for them.
A
An important clue to a nontherapeutic staff-patient relationship is concern of other
staff members. Allowing the nurse to care for the same patient over time would be
therapeutic for the patient and family. Nurses who are able to somewhat withdraw
emotionally can protect themselves while providing therapeutic care. Nurses using
teaching skills to instruct patient and family will assist in transitioning the child and
family to self-care.
Which is most descriptive of clinical reasoning?
a. A simple developmental process
b. Purposeful and goal-directed
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c. Based on deliberate and irrational thought
d. Assists individuals in guessing what is most appropriate
B
Clinical reasoning is a complex, developmental process based on rational and
deliberate thought. Clinical reasoning is not a developmental process. Clinical
reasoning is based on rational and deliberate thought. Clinical reasoning is not a
guessing process.
A nurse makes the decision to apply a topical anesthetic to a childs skin
before drawing blood. Which ethical principle is the nurse demonstrating?
a. Autonomy
b. Beneficence
c. Justice
d. Truthfulness
B
Beneficence is the obligation to promote the patients well-being. Applying a topical
anesthetic before drawing blood promotes reducing the discomfort of the
venipuncture. Autonomy is the patients right to be self- governing. Justice is the
concept of fairness. Truthfulness is the concept of honesty.
Which action by the nurse demonstrates use of evidence-based practice
(EBP)?
a. Gathering equipment for a procedure
b. Documenting changes in a patients status
c. Questioning the use of daily central line dressing changes
d. Clarifying a physicians prescription for morphine
C
The nurse should document assessments and reassessments. Appearance of the
incision described in objective terms should be included during a dressing change.
The nurse should document patients response and the outcomes of the care
provided. In this example, these include drainage on the old dressing, the application
, Page 4 of 211
of the new dressing, and the childs response. The other statements partially fulfill the
requirements of documenting assessments and reassessments, patients response,
and outcome, but do not include all three.
A nurse is planning a class on accident prevention for parents of toddlers.
Which safety topic is the priority for this class?
a. Appropriate use of car seat restraints
b. Safety crossing the street
c. Helmet use when riding a bicycle
d. Poison control numbers
A
Motor vehicle accidents (MVAs) continue to be the most common cause of death in
children older than 1 year, therefore the priority topic is appropriate use of car seat
restraints. Safety crossing the street and bicycle helmet use are topics that should be
included for preschool parents but are not priorities for parents of toddlers.
Information about poison control is important for parents of toddlers and would be a
safety topic to include but is not the priority over appropriate use of car seat
restraints.
Which behaviors by the nurse indicate a therapeutic relationship with children
and families?
(Select all that apply.)
a. Spending off-duty time with children and families
b. Asking questions if families are not participating in the care
c. Clarifying information for families
d. Buying toys for a hospitalized child
e. Learning about the familys religious preferences
B, C, E
Asking questions if families are not participating in the care, clarifying information for
families, and learning about the familys religious preferences are positive actions
and foster therapeutic relationships with children and families. Spending off-duty time
with children and families and buying toys for a hospitalized child are negative
